Park, Susan N.
Park, Susan N. is an sole proprietor health care provider with primary practice located at 1661 Estero Blvd Suite 29, Fort Myers Beach FL 33931-2846. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Park, Susan N. can be contacted via phone (239) 463-5433.Contact Information
Primary practice address
1661 Estero Blvd Suite 29
Fort Myers Beach FL 33931-2846
Phone: (239) 463-5433
Fax: (239) 463-0114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN12538 | Florida |
Profile Details
| NPI number | 1093866477 |
|---|---|
| LBN Legal business name | Park, Susan N. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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